Individual
MR. LANDON JAMES NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
Mailing address
334 S 600 E, NEPHI, UT 84648-1958
(435) 660-0467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12701546-4201
UT
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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